Target intelligence / Profile preview

Vasoactive intestinal polypeptide receptor 2 (VPAC2)

Target
VPAC2
Molecular classification
G protein-coupled receptor, Receptor, Class B1 GPCR family
01

Overview

Vasoactive intestinal polypeptide receptor 2 (VPAC2, also known as VIP2R) is a transmembrane receptor in the class B1 GPCR superfamily activated primarily by the neuropeptides vasoactive intestinal peptide (VIP) and pituitary adenylyl cyclase-activating polypeptide (PACAP). The receptor is expressed extensively in the central and peripheral nervous systems, as well as endocrine tissues. VPAC2 mediates signal transduction via cAMP, affecting processes such as insulin secretion (in a glucose-dependent manner), immune modulation, circadian rhythm, neural development, thermoregulation, and various endocrine and metabolic responses. VPAC2 is considered a therapeutic target for diabetes, autoimmune and inflammatory diseases, cancer, pulmonary arterial hypertension, COPD, and select neuropsychiatric conditions. Drug development has focused on selective agonists (for diabetes) and antagonists (for cancer), with considerable research on its pharmacological modulation, safety profile, and physiological roles.

Other names
VPAC2VIP2RVIPR2vasoactive intestinal peptide receptor type 2vasoactive intestinal peptide receptor 2
02

Mechanism of action

Agonists stimulate cAMP production via adenylyl cyclase, leading to downstream activation of PKA, Epac, membrane depolarization, calcium influx, and exocytosis (in pancreatic β-cells for insulin secretion) Immunomodulation: receptor activation affects T-cell differentiation, promotes regulatory T cell expansion, and controls pathogenic signaling in immune cells

03

Biological functions

Signal transduction (via cAMP pathway)Glucose-dependent insulin secretion (pancreatic β-cells)Immune modulation (influence on T cell subsets, including Treg expansion)Regulation of circadian rhythm, neural development, and thermoregulationModulation of synaptic plasticity (hippocampus)
04

Disease associations

Diabetes (role in glucose homeostasis and insulin secretion)Cancer (impact on tumor growth, angiogenesis, especially via VIP-mediated mechanisms)Inflammation and autoimmune disease (multiple sclerosis, rheumatoid arthritis)Psychiatric disorders and pulmonary arterial hypertensionAsthma and chronic obstructive pulmonary disease (COPD)
05

Safety considerations

Broad spectrum VIP receptor antagonists may cause unwanted inhibition of glucose-dependent insulin secretion and bronchodilationNeed for stability and receptor subtype selectivity in agonist or antagonist design to avoid off-target effects and prolonged tissue exposure
06

Interacting drugs

VPAC2-selective agonists (developed as hypoglycemic agents)

3 more in the full profile.

07

Biomarkers

Low VIP serum levels associated with worse outcomes in early rheumatoid arthritis and spondyloarthritisVPAC2 expression levels upregulated during immune cell activation and differentiation

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